دورية أكاديمية
Reduced cardiovascular risk score following bilateral cataract phacoemulsification surgery: A retrospective observational cohort study.
| العنوان: | Reduced cardiovascular risk score following bilateral cataract phacoemulsification surgery: A retrospective observational cohort study. |
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| المؤلفون: | Matias MJ; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal., Alves-Peixoto P; Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, Tocha, Portugal., Miranda V; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal., Aguiar CP; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal., Ambrósio J; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal., Rocha A; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal., Chibante-Pedro J; Department of Ophthalmology, Serviço de Oftalmologia do Centro Hospitalar de Entre o Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal. |
| المصدر: | European journal of ophthalmology [Eur J Ophthalmol] 2023 Jul; Vol. 33 (4), pp. 1632-1639. Date of Electronic Publication: 2023 Feb 13. |
| نوع المنشور: | Observational Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9110772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6016 (Electronic) Linking ISSN: 11206721 NLM ISO Abbreviation: Eur J Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Thousand Oaks, CA : SAGE Publishing Original Publication: Milano ; Birmingham, AL : Wichtig, c1991- |
| مواضيع طبية MeSH: | Phacoemulsification*/methods , Cardiovascular Diseases*/etiology , Cataract*/complications, Humans ; Cohort Studies ; Retrospective Studies ; Risk Factors ; Vision Disorders/surgery ; Heart Disease Risk Factors |
| مستخلص: | Objective: To assess the cardiovascular risk (CV risk) change following bilateral phacoemulsification cataract surgery. Methods: We performed a retrospective observation cohort study on 112 selected patients who underwent uncomplicated bilateral cataract surgery at Centro Hospitalar de Entre o Douro e Vouga (CHEDV) between 2018 and 2019. This patient cohort was further subdivided in 2 different groups: Good VA - no to mild visual impairment, ≤0.48 LogMAR; Bad VA - moderate to severe visual impairment, >0.48 LogMAR. We compared the changes in the CV risk score components in our patient cohort and between subgroups Good VA and Bad VA, before and after surgery, using paired t-test or Wilcoxon rank-sum test, and repeated measures ANOVA with Tukey post-hoc tests, respectively. Visual Acuity (VA) before and after surgery was correlated with the patients' CV risk score. At last, linear regression models were built to explain changes in CV risk variables considering the change in VA. Results: Cataract surgery resulted in improved VA. Notably, following surgery our patient cohort showed reduced low-density lipoprotein (LDL) levels after surgery, from 111.17±36.26 mg/dL to 104.22±37.53 mg/dL, and reduced systolic arterial pressure (SAP), from 139.1±15.0 mmHg to 133.7±12.0 mmHg. Ultimately, this translated to an improved CV risk score within 6 months of cataract surgery, from 17.39±11.44% to 16.51±11.27%. Of note, these improvements were mostly present in the Bad VA group of patients, where baseline VA and incidence of dyslipidemia were worse. Conclusion: Our results suggest that phacoemulsification cataract surgery may be an important tool in addressing CV risk. |
| فهرسة مساهمة: | Keywords: Cardiovascular risk; Cataract; Cataract phacoemulsification surgery |
| تواريخ الأحداث: | Date Created: 20230214 Date Completed: 20230710 Latest Revision: 20230718 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1177/11206721231155211 |
| PMID: | 36785925 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1724-6016 |
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| DOI: | 10.1177/11206721231155211 |